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Senior Community Nurse

Hertfordshire Community NHS Trust
St Albans
£41,659 to £47,672 a year (pro rata if applicable)
Closing date
21 May 2024
Are you a motivated, forward thinking Nurse who is looking to use and develop their skills in an ever growing and evolving team? PALMS are seeking to appoint a Band 7 Nurse who can work flexibly and is committed to supporting CYP and their families across Hertfordshire and the full PALMS' team. This is an exciting opportunity to be part of a values led service and develop your own professional interests, with access to training to enhance clinical skills, regular supervision and support.

PALMS (Positive behaviour, Autism, Learning disability, Mental health Service) is evolving and we want to welcome additional clinicians to be part of our vibrant and multidisciplinary team which includes Clinical Psychologists, Positive Behaviour Analysts, Systemic Therapists, Learning Disability Nurses, Psychiatrists, Mental Health Practitioners, Speech and Language Therapists and Outreach Workers.

We are committed to supporting flexible working options for staff, wherever possible, and welcome discussions on flexible working patterns to support our staff to maintain a healthy work life balance.

Closing Date - Midnight 20th May 2024

Interview - 31st May 2024

Main duties of the job

  • To support in making a difference to children, young people and their families by working in partnership and to support them in achieving positive outcomes.
  • To work closely with PALMS MDT supporting the running of review clinics which could include physical health interventions, medication management support and nurse prescribing, all within clear guidance and protocols. Adhering to STOMP/STAMP and other national guidance.
  • To provide assessments and care planning of children/young people referred to PALMS.
  • Promote the mental and emotional health of children, young people and families in the community through clinical interventions in the care pathway and through MDT working.
  • Supervision and line management responsibilities of PALMS colleagues and support of the Band 5 and 6 Learning Disability/Mental Health Nurses.
  • To help set-up and develop nurse-led review clinics demonstrating the ability to work as an autonomous specialist practitioner in relation to the specialist area which will include the reading and recording of the clinical observations of each child and the ongoing assessment of the effectiveness of treatment packages.
  • To lead on the nursing agenda in PALMS, the running of the Nursing forum and nursing clinical governance

About us

PALMS works across Hertfordshire providing a specialist multi-disciplinary approach. PALMS is a CAMHS commissioned service which offers individually tailored support for children and young people (CYP), aged 0-18 who have a global learning disability and/or Autism Spectrum Disorder, helping families to manage challenging behaviour, toileting,feeding and sleeping concerns which have not benefitted from community interventions and/or to support mental health needs which cannot be met with reasonable adjustment by other CAMHS services. Interventions include workshops, intervention groups, individual therapy, parent as therapist sessions, and a family clinic. PALMS aims to keep children and young people with their families thereby improving outcomes for all family members. PALMS predominantly applies narrative, systemic, positive behaviour, and bio-psycho social models adhering to the STOMP / STAMP and Transforming Care Agendas.

Job description

Job responsibilities

The ideal candidate will be:
  • Passionate about and have a desire to contribute to change in a vibrant NHS team
  • Dedicated to supporting CYP with autism and/or learning disability and their families.
  • Collaborative in their approach to work with families, networks, and others services
  • Able to work both in a team environment and autonomously
  • Able to maintain a high degree of professionalism when working in settings where there is a highly emotive atmosphere.
  • Flexible in their approach and have resilience under pressure
  • Have professional registration for your speciality

PALMS principally deliver a flexible service according to need and personal circumstances, in a planned way. For example, for a full-time worker this equates to flexibly working 37.5 across the working week. PALMS are open to flexible working and therefore part time / job share would be considered, working a minimum of 0.6 WTE.

We are committed to supporting flexible working options for staff, wherever possible, and welcome discussions on flexible working patterns to support our staff to maintain a healthy work life balance. We welcome diversity in our workforce and are interested in applicants from all backgrounds and ages

We can offer you:
  • Regular clinical and professional supervision including opportunities to meet as a team including peer reflection and Intervision
  • Regular appraisal, personal development planning and opportunities for continuing professional development. This includes specific support with regards to fulfilling the PALMS role.
  • Opportunities to work closely with a multi-disciplinary team and learn from other evidence based frameworks and approaches.
  • Opportunities to provide clinical supervision and line management to other members of the PALMS team as appropriate.
  • Opportunities to connect with local and national networks
  • Involvement in providing training.

We dont want you to miss out so wed like you to know that if we have a high level of interest in this role, the vacancy may close prior to the advertised closing date, so please make your application as soon as possible - Apply now

Interviews will be run either in person at one of our bases or using Microsoft Teams, full details and instructions will be provided to successful candidates.

Person Specification

Qualifications & Training


  • Registered Nurse (RCN/RNLD/RNMH) with experience in Children's, Learning Disabilities and/or Mental Health Nursing.
  • Further training in relevant areas of Autism, Learning Disability and/or mental health


  • Specialist Practice Community Qualification
  • Nurse Prescriber Qualification
  • A qualification and/or training in clinical supervision/Leadership



  • Experience of working clinically in a mental health and/or learning disability setting assessing, containing, and managing complex cases in a multi-disciplinary setting.
  • Experience of working with people who have a learning disability and/or autistic spectrum disorder
  • Able to identify, assess and offer evidence-based interventions for mental health and/or challenging behaviour.
  • Experience of developing and delivering training and/or groups.
  • Experience of dealing with Safeguarding Incidents
  • Experience of multi-disciplinary working
  • Experience of providing clinical supervision and Line Management
  • Ability to lead professionally and managerial
  • Up to date knowledge of policies and procedures and clinical issues relating to specific client group


  • Experience of working in the community.
  • Experience of working in a family cantered approach
  • An awareness and appreciation of Positive Behavioural Support.

Knowledge & Skills


  • Knowledge of current developments specific to the PALMS remit and Nursing
  • Knowledge of different ways of working with CYP with a LD and/ or ASD.
  • An understanding of the impact of Learning Disability, Autism and mental health difficulties and challenging behaviour on family life
  • An ability to make autonomous clinical judgement involving highly complex facts and situations
  • High level of communication skills (written and verbal) including an ability to communicate effectively complex, highly technical and/or clinically sensitive information to a range of audiences.
  • An ability and commitment to work as a member of a team and effectively communicate with the team
  • Practical computing skills including the use of databases and spreadsheets.

Personal Abilities


  • An interest in, and commitment to, working with children who have a learning disability and/or an autistic spectrum disorder and/or mental health difficulties
  • Values that match positive behaviour practices
  • Positive interpersonal skills
  • Ability to work with children & young people whose behaviour is personally challenging.
  • Ability to establish and maintain professional relationships
  • An ability to work effectively in a range of direct care settings with families, carers, and staff.
  • Good organisational skills and an ability to manage own workload
  • Ability to work independently, reliably, and consistently
  • Ability and willingness to work flexibly including evenings and weekends.
  • Capable of using initiative and maintaining professional boundaries
  • Ability to concentrate for prolonged periods
  • Ability to use supervision appropriately and effectively
  • Ability to recognise the emotional consequences of working with children with distressing and life changing disorders and seek support if needed
  • Ability to recognise signs of stress and to seek appropriate support.
  • Ability to work as part of a 'virtual team'
  • Ability to think clearly and express self.

Other Specifications


  • Willingness to uphold the Trust's values
  • Eligible to live and work in the UK
  • If applicable to the role - hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)

Employer details

Employer name

Hertfordshire Community NHS Trust


Sandridge Gate

St Albans


Any attachments will be accessible after you click to apply.


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